儿童院际转运系统应用现状分析  

Analysis of the Application Status of Children's Interhospital Transport

作　　者：陆文婷[1] 梁世山[1] 李少澍[1] 王清海[1] 陈婷婷[1] 张静芬 刘华婷 郑华明 LU Wen-ting;LIANG Shi-shan;LI Shao-shu;WANG Qing-hai;CHEN Ting-ting;ZHANG Jing-fen;LIU Hua-ting;ZHENG Hua-ming(Department of Pediatrics,Quanzhou First Hospital,Fujian Medical University,Quanzhou,Fujian Province,362000 China)

机构地区：[1]福建医科大学附属泉州第一医院儿科,福建泉州362000

出　　处：《中外医疗》2020年第34期35-37,共3页China & Foreign Medical Treatment

摘　　要：目的总结该院儿童院际转运系统的应用现状。方法回顾性分析2018年6月—2020年3月期间通过该院儿童院际转运系统转运的281例危重患儿的病例资料。结果通过该院儿童院际转运系统共接诊281例患儿。接诊患儿来自36家医疗单位,其中三级医院7家(19.44%),二级医院24家(66.67%),一级医院5家(13.89%);转诊半径2~120 km(中位数23 km);其中年龄≤28 d 188例(66.90%),28 d^14岁93例(33.10%),男性174例(61.92%),女性107例(38.08%)。院前抢救共33例(11.74%),其中气管插管29例(87.88%,29/33),院前心肺复苏4例(12.12%,4/33)。转运途中使用呼吸机辅助通气46例(16.37%),鼻导管吸氧132例(46.98%),面罩吸氧8例(2.85%)。疾病种类前五位分别是新生儿疾病174例(61.92%)、呼吸系统疾病51例(18.15%)、神经系统疾病17例(6.05%)、外科系统疾病13例(4.63%)、循环系统疾病12例(4.27%)。入院治疗中需有创呼吸机辅助通气共61例(21.71%),平均使用时长104.43 h(中位数62.34 h),无创呼吸辅助通气共58例(20.64%)。通过该科救治好转出院有249例(88.61%)、放弃治疗18例(6.41%)、转上级医院8例(2.85%)、死亡6例(2.14%)。结论该院儿童院际转运系统运行良好,转诊危重患儿比例高,有利于周边区域危重患儿的积极抢救和有效救治。Objective To summarize the application status of interhospital transport system for children in the hospital.Methods We retrospectively analyzed the case data of 281 critically ill children who were transported through the interhospital transport system of the hospital from June 2018 to March 2020.Results A total of 281 children were admitted through the interhospital transfer system of the hospital.The children were admitted from 36 medical units,including 7 tertiary hospitals(19.44%),24 secondary hospitals(66.67%),and 5 primary hospitals(13.89%);the referral radius was 2-120 km(median number was 23 km);188 cases(66.90%)were aged≤28 days,93 cases(33.10%)were 28 days to 14 years old,174 cases were male(61.92%),and 107 cases were female(38.08%).A total of 33 cases(11.74%)were rescued before hospitalization,including 29 cases(87.88%,29/33)with tracheal intubation,and 4 cases(12.12%,4/33)with pre-hospital cardiopulmonary resuscitation.During the transfer,46 cases(16.37%)were assisted by ventilator ventilation,132 cases(46.98%)were inhaled by nasal catheter,and 8 cases(2.85%)were inhaled by mask.The top five types of diseases are 174 cases of neonatal diseases(61.92%),51 cases of respiratory diseases(18.15%),17 cases of neurological diseases(6.05%),13 cases of surgical diseases(4.63%),and circulatory diseases 12 cases(4.27%).During admission,61 cases(21.71%)required invasive ventilator assisted ventilation,with an average use time of 104.43 h(median 62.34 h),and 58 cases(20.64%)of non-invasive respiratory assisted ventilation.Through the department’s treatment,249 cases(88.61%)were transferred and discharged,18 cases abandoned treatment(6.41%),8 cases(2.85%)were transferred to a higher level hospital,and 6 cases died(2.14%).Conclusion The interhospital transport system for children in our hospital is operating well,with a high proportion of critically ill children referred,which is conducive to the active rescue and effective treatment of critically ill children in the surrounding area.

关 键 词：危重儿童 院际转运系统 应用 

分 类 号：R473[医药卫生—护理学]